{
  "resourceType" : "ObservationDefinition",
  "id" : "mii-obsdef-pro-score-proctcae-composite-grade",
  "meta" : {
    "profile" : ["https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-pr-pro-score-blueprint|2026.2.0"]
  },
  "language" : "en",
  "text" : {
    "status" : "extensions",
    "div" : "<div xml:lang=\"en\" lang=\"en\"><hr/><p><b>English</b></p><hr/><p class=\"res-header-id\"><b>Generated Narrative: ObservationDefinition mii-obsdef-pro-score-proctcae-composite-grade</b></p><a name=\"en-mii-obsdef-pro-score-proctcae-composite-grade\"> </a><a name=\"en-hcmii-obsdef-pro-score-proctcae-composite-grade\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-mii-pr-pro-score-blueprint.html\">MII PR PRO Score Blueprint / Template</a> version: 2026.2.0</p></div><p><b>ArtifactVersion</b>: 2026.2.0</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category survey}\">Survey</span></p><p><b>code</b>: <span title=\"Codes:{https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-score-catalogue proctcae-composite-grade}\">PRO-CTCAE Composite Grade (per Adverse Event)</span></p><p><b>permittedDataType</b>: Quantity</p><p><b>multipleResultsAllowed</b>: false</p><h3>QuantitativeDetails</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Unit</b></td><td><b>DecimalPrecision</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://unitsofmeasure.org {score}}\">score</span></td><td>0</td></tr></table><h3>QualifiedIntervals</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Category</b></td><td><b>Range</b></td></tr><tr><td style=\"display: none\">*</td><td>absolute range</td><td>0-3</td></tr></table></div>"
  },
  "extension" : [{
    "url" : "http://hl7.org/fhir/StructureDefinition/artifact-version",
    "valueString" : "2026.2.0"
  }],
  "category" : [{
    "coding" : [{
      "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
      "code" : "survey"
    }]
  }],
  "code" : {
    "coding" : [{
      "system" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/CodeSystem/mii-cs-pro-score-catalogue",
      "code" : "proctcae-composite-grade",
      "display" : "PRO-CTCAE Composite Grade (per Adverse Event)"
    }]
  },
  "permittedDataType" : ["Quantity"],
  "multipleResultsAllowed" : false,
  "quantitativeDetails" : {
    "unit" : {
      "coding" : [{
        "system" : "http://unitsofmeasure.org",
        "code" : "{score}",
        "display" : "score"
      }]
    },
    "decimalPrecision" : 0
  },
  "qualifiedInterval" : [{
    "category" : "absolute",
    "range" : {
      "extension" : [{
        "url" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-ex-pro-score-score-health-correlation",
        "valueCodeableConcept" : {
          "coding" : [{
            "system" : "http://terminology.hl7.org/CodeSystem/measure-improvement-notation",
            "code" : "decrease"
          }],
          "text" : "Higher grade indicates worse patient-reported adverse event burden"
        }
      }],
      "low" : {
        "value" : 0
      },
      "high" : {
        "value" : 3
      }
    }
  }]
}